| NPI | 1548609415 |
|---|---|
| Doing Business As | IMPACT MY YOUTH |
| Entity Type | Organization |
| Authorized Contact | DONALD CHAPMAN Director 404-769-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |